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About Farbod Esmailian, MD
(Top Expert on this page)

Expertise
Dr. Esmailian is an expert in the area of aesthetic and reconstructive plastic surgery. His expertise spans across such topics as breast augmentation, breast revision, breast lifts, breast reconstruction, abdominoplasty, liposuction, post massive weight loss surgery. Also questions associated with surgery of the face, including: facelifts, browlift, eyelid surgery, rhinoplasty, and chin augmentation. Dr. Farbod Esmailian takes extreme pride in his work and treats every patient as an individual with a surgical plan specifically guided to the patients wants and desires. Dr. Esmailian is a board certified Orange County plastic surgeon, who specializes in aesthetic plastic surgery of the face, breast and body. To read more about Dr. Esmailian you may visit his website at www.feplasticsurgery.com

Experience
Dr. Farbod Esmailian completed 5 years of General Surgery training at the famous USC Medical Center, including an Administrative Chief Resident year. He them pursued a career in plastic surgery by attending the prestigious program at Indiana University, training with world renowned surgeons. Dr. Esmailian is double Board Certified surgeon. He is board certifed by the American Board of Plastic Surgery as well as by the American Board of Surgery. Both recognized by the American Board of Medical Specialties. Dr. Esmailian is in solo private practice in Orange County, Southern California and specializes in aesthetic/cosmetic surgery of the face, breast and body.

Organizations
American Medical Association (AMA) American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS)

Education/Credentials
Board Certified by American Board of Surgery Board Certified by American Board of Plastic Surgery George Washington University School of Medicine-Medical Doctorate USC School of Medicine-General Surgery Internship and Residency Indiana University School of Medicine-Plastic Surgery Residency

Awards and Honors
USC Resident of the Year USC Teaching Resident Award UCSD-Undergraduate Deans List

   

You are here:  Experts > Health/Fitness > Surgery > Plastic Surgery

Questions Answered By Expert  Farbod Esmailian, MD 
In Category  Plastic Surgery

SubjectDate Asked

HGH & Rhinoplasty11/16/2009
  Q: and if you know of any other individual who may be better suited to answering all or some of my ...
  A: I do not have any experience either with HGH, but medically speaking I would wait until you are done ...
Breast implant11/13/2009
  Q: Doctor, I had breast augmentation 2 months ago in a Colombia, South America. After 2 weeks of my ...
  A: Lynn, This may be a problem. You may have developed a hematoma at the 2 week mark and now you have ...
surgeries for minors11/1/2009
  Q: what requirements in detail are needed for a 16 year old minor to undergo a nosejob and neck ...
  A: If you are a male, you should not be having rhinoplasty at this age. If you are female, it is ...
swollen and hard abdomen after tt10/29/2009
  Q: I am now almost 2 years post abdominoplasty op and have read several letters on this site and can ...
  A: June, I dont know what scar tissue you are talking about. I would assume the scar on the incision. ...
nipples after breast lift10/20/2009
  Q: i had a breast lift on 10/6/09, a week later my nipples began to look like someone who was burned in ...
  A: Ok. So you have a breast reduction not a lift. Completely different procedures. Yes you do get a ...
nipples after breast lift10/19/2009
  Q: i had a breast lift on 10/6/09, a week later my nipples began to look like someone who was burned in ...
  A: I am confused here as I am missing a part of the story. A breast lift and skin graft dont really go ...
reduction of scars from mastopexy10/13/2009
  Q: Esmailian, I had a mastopexy almost 5 weeks ago and I am wondering what to use on the anchor shaped ...
  A: I have found that plain paper tape you can buy from the pharmacy is the best thing for scars. There ...
breast reduction - new info10/11/2009
  Q: Hey, I've recently been denied by my insurance to get a breast reduction. A little over two weeks ...
  A: Ok Jesse, I remember now. Yes, they wanted more conservative or medical treatment before allowing ...
breast reduction - new info10/11/2009
  Q: Hey, I've recently been denied by my insurance to get a breast reduction. A little over two weeks ...
  A: I cant say because I need other information as to why your were denied. If it was due to size or ...
Bump After Septorhinoplasty10/5/2009
  Q: I had a septorhinoplasty about 3 and a half months ago to fix deviated septum and remove a rather ...
  A: You need to wait a year from the time of surgery to do revision. Revision cost has to be determined ...
Jackson-Pratt drain10/2/2009
  Q: I am status post 4 weeks abdominoplasty/double hernia repair and was told the two Jackson-Pratt ...
  A: Sometimes the drains stay in longer than we would like, specially in bigger and combined cases. If ...
Permenant filler infection (abcess)9/29/2009
  Q: I had been injected with a permanent filler called esteform in my cheeks. Two months later i ...
  A: It is impossible for me to tell you that. It is possible that the stuff came out, but it is ...
PLASTIC SURGEON IN CALI9/28/2009
  Q: I am a high school student wanting to be involved in a medical carrer. I know that being a freshman ...
  A: A lot of hard work and dedication. If you are asking this, it may not be the field for you. You ...
Internal Scars after Maxillofacial surgery9/22/2009
  Q: I have had two operations to reduce and fix the Zygomatic complex and upper and lower orbital rim. I ...
  A: It really good be any or all of the above you mentioned. It could be nerve injury, swelling, scar ...
breast lift (mastopexy)9/20/2009
  Q: I had a breast lift 9 days ago and I am horrified. My nipples are the size (diameter) of quarters ...
  A: I wouldnt even think about any surgeries at this point. You are only 9 days out which is nothing as ...
Still Hump After Septorhinoplasty9/19/2009
  Q: I am a little over 2 months post-op septorhinoplasty to correct deviated septum and a rather large ...
  A: It feels all like bone, but it is not all bone, part of the dorsum is cartilage. Now the residual ...
Post Breast Reduction Pain9/17/2009
  Q: I had a breast reduction and areolar reduction 3 months ago. my left breast is mostly numb and my ...
  A: They are two different breasts and will heal differently. I ultimately say that at about 1 years ...
Post Breast Reduction Pain9/17/2009
  Q: I had a breast reduction and areolar reduction 3 months ago. my left breast is mostly numb and my ...
  A: What you describe is unusual but it happens to some patients. Obviously is has to do with the ...
Re: Nasal Hump Still There After Septorhinoplasty9/12/2009
  Q: I had a septorhinoplasty 2 months ago to correct a deviated septum and shave down a rather large ...
  A: This is an issue with large dorsal hump and perhaps patients with thick skin. It is possible that ...
dehiscence9/8/2009
  Q: I had reconstructive breast surgery due to breast cancer. Mar 12, 2009 a tissue expander was imput ...
  A: Sorry to hear about your situation. I would say not to the levaquin. Rare to have the incision ...
Chin surgery9/1/2009
  Q: I had a sliding genioplasty in November of 2008 for purely cosmetic reasons (too add length to my ...
  A: I would go see your plastic surgery and have him exam the area. You could have the soft tissue ...
gore-tex or silicone?8/26/2009
  Q: My name is Cassie and I'm planning to get a nose job. I have your typical Asian nose.. a bit wide ...
  A: I would ask you doctor what he thinks are the risks and benefits. The problems with any synthetic ...
smile :)8/18/2009
  Q: they have little flabs of fat on the corners of my smile. ...
  A: Aaron I havent seen your corners of the mouth, so maybe you should send yours as well. But I think ...
breast reduction and bad recovery, why?8/13/2009
  Q: i want to have a breast reduction surgery but after seeing pictures of patients whose operation went ...
  A: Holly, Unfortunately there is no guarantee to not have a complication. Complications happen and are ...
scars on inside of cheeks8/9/2009
  Q: a few years ago i had a nervous habit of chewing off the skin on the inside of my cheeks. i still ...
  A: Scar revisions can always be done. I am not sure if the scars on the outside are related to the ...
rhinoplasty8/3/2009
  Q: I plan on getting rhinoplasty, maybe within a couple years. I have two questions: I was looking over ...
  A: No not concerning that the plastic surgeon is not on there. What you need to make sure is that he ...
scar revision8/3/2009
  Q: My name is tanveer ahmed.i stay in bangalore India.sir i would like to ask about the facial palstic ...
  A: To remove a scar it needs to be excised, so you will have a scar there forever, it is just a matter ...
TUMMY TUCK7/28/2009
  Q: I had a tummy tuck on May 20,2009 and everything has gone great except that when I have sex with my ...
  A: This is the first that I have heard of this. But certainly it has to do with what you have ...
Tummy tuck7/28/2009
  Q: I know I need a tummy tuck as I have had 4 kids and above my bikini line is flabby, but in all ...
  A: Yes it can be done Gail. But you already mentioned it, you need a tummy tuck. All the skin is ...
best way to eliminate naso-labial folds7/27/2009
  Q: I am a 36 year old woman with fairly deep naso-labial folds that i would like to have removed. What ...
  A: Fat grafting is an art and little since behind it. It is very difficult to predict how much would ...
Encapsulation after lift and silicone implants7/27/2009
  Q: After having a child and breast feeding I had what my Dr called atrophied ptotic breasts. I had a ...
  A: It really depends on how firm your encapsulation is. At times if it is caught early enough, the ...
abdominoplasty7/26/2009
  Q: My surgery was 12 days ago.I have been up and about everyday yet I still am unable to stand erect. ...
  A: It really depends from patient to patient. It does take time, and it just means your plastic ...
scarred arm lift7/26/2009
  Q: A year ago I had an arm lift and abdominoplasty. I had MRSA on the elbow a week after the J.P. drain ...
  A: Not unless your are sick right now and having symptoms. MRSA is staph infection and everyone gets ...
swelling/fluid retention7/25/2009
  Q: I had textured silicone implants done apx 8 years ago, and recently noticed swelling on my right ...
  A: I highly doubt fluid retention, especially 8 years out. You probably are developed or have ...
Breast lift with implant exchange7/25/2009
  Q: My current implants are almost 20 years old. I am planning to replace them and get a lift at the ...
  A: There are some surgeons that do not feel comfortable doing a remove and replace and lift at the same ...
recovery from Breast surgery7/22/2009
  Q: I had 340cc implants put in 8 weeks ago to take me from a 32B to a 32DD.I'm 23 and the healing has ...
  A: Yes they will drop over time and it will be about 4 months before you reach your final result. As ...
Dermoid cyst of eyebrow?7/19/2009
  Q: I have taken my 14 month old daughter to a opthamologist that we were referred to by her Dr and he ...
  A: I would recommend a plastic surgeon. A plastic surgeon would and knows how and where to place the ...
Dermoid cyst of eyebrow?7/17/2009
  Q: I have taken my 14 month old daughter to a opthamologist that we were referred to by her Dr and he ...
  A: When these swellings are in the midline of the face or head, we usually want a CT scan to make sure ...
Systemic pain from 4/14/08 abdominoplasty7/13/2009
  Q: Let me tell you succinctly why I’m writing - if you need more details I’ll provide them. I had an ...
  A: What you complain about is very unusual as this I have not heard of. I am wondering what you mean ...
rhinoplasty and chin job7/13/2009
  Q: ive just had both a nose job and a chin job last month, the doctor elevated my nose upwards and ...
  A: Difficult to say right now, it may be normal and have to see if it resolves with time. Sometimes ...
breast augmentation7/8/2009
  Q: I had my old (23 years) silicone breast implants replaced in 12/08. In March 09 I noticed the left ...
  A: Ok, I would use your plastic surgeons judgement on what needs to be done. If he thinks alloderm ...
breast augmentation7/6/2009
  Q: I had my old (23 years) silicone breast implants replaced in 12/08. In March 09 I noticed the left ...
  A: I am a bit puzzled here because this just doesnt all sound correct to me. Doing a capsulotomy ...
Bikini Ready?6/30/2009
  Q: I'm almost 3 weeks status post breast aug and tummy tuck. I've been religiously (24/7) wearing the ...
  A: Glad you are happy with your result. If you were my patient I would tell you it is too early to be ...
DOG EAR6/28/2009
  Q: Dr. Esmailian, I underwent a mastopexy 4 weeks ago. the problem is i have an dog ear under my left ...
  A: I wouldnt as most plastic surgeons consider a dog ear a "postoperative problem". There are a lot ...
Tummy Tuck6/27/2009
  Q: I had a tummy tuck two months ago which seemed to go very well. However, I have had a problem with ...
  A: Not an uncommon issue, it will resolve but with time. I generally recommend to my patients to buy ...
tummy tuck6/26/2009
  Q: I had a tummy tuck 12/2007 a year later I noticed my belly button leaking now there is something ...
  A: Serious to the extent that you should see your plastic surgery. You may be having one of the ...
Cheekbone and cheek questions6/26/2009
  Q: I had the lump surgically removed a year and half ago and the surgeon scraped away some of the ...
  A: Either one is a good option. Neither are permanent though. Visit with your plastic surgeon and see ...
My upper lips is to short6/20/2009
  Q: My upper lip has always been to short. I have never been able to close my mouth properly . Is there ...
  A: Possbily, I would recommend seeing a plastic surgeon for this. There is a muscle that goes from ...
cyst on cheek6/18/2009
  Q: ive suffered from cysts for a few year now, ive had little ones removed from my forehead but theres ...
  A: I dont think you need a skin graft, probably just an excision. Why they keep coming back is that by ...
Thick skin6/17/2009
  Q: I have searched the internet for an answer and find that I may have came to the right place at last! ...
  A: It may sound like you have rhinophyma. Laser surgery may be an option, so can be tangential ...
drasticly uneven swelling post breast augmentation6/15/2009
  Q: I just had subglandular breast augmentation (330 silicone mod profile) surgery on 6/5/09 and noticed ...
  A: No I dont think that would be a reason. Sometimes one side may take a bit longer to settle than the ...
using roaccutane after breast augmentation6/14/2009
  Q: my question is that i had a breast augmentation surgery before 4 months, and I'm planning to start ...
  A: Rana There is not much data with accutane and breast augmentation. I would discuss this with your ...
breast implants6/10/2009
  Q: First of all thank you for your time! I am in my early 20s and I have a 10 month old baby. I loved ...
  A: Jamie it really depends how your breasts are now after breast feeding. If they are tight back onto ...
muscle repair failure6/8/2009
  Q: I had a tt on 2/23/09. Standing I look very flat, but when I bend over, my tummy hangs. If ps didn't ...
  A: Sounds like you have excess skin still and not so much the muscle repair. It can all be fixed, just ...
Seromas6/2/2009
  Q: I had liposuction recently and have fluid build up that my doctor is draining on a consistent basis. ...
  A: Seromas can happend after liposuction and the treatment is what you are having done. So yes scar ...
Hernia and tummy tuck6/1/2009
  Q: I have had two babies and my last baby streched me so much it caused an abdominal hernia. I had it ...
  A: Yes, it can be done. Make sure the plastic surgeon you see is board certified plastic surgeon and ...
Breast lift6/1/2009
  Q: In doing a breast lift what does it consist of? do you have to increase the size of the breast with ...
  A: Rosita, A breast lift consist of cutting out some skin, moving the nipple and areola complex to a ...
Med school and plastic surgery5/31/2009
  Q: I really appreciate your time and help with my question. I just finished my first year at the ...
  A: Any medical school you get into in the US is good. You need to increase your GPA and score well on ...
fibercystic problems5/29/2009
  Q: I have had painful breasts since I can remember. During the time of about one week before my ...
  A: There is no direct link. You are talking about doing a subcutaneous mastectomy to remove the breast ...
Ubelicall hernia and diastasis recti5/28/2009
  Q: My wife went to a surgeon today because she has an umbilical hernia and diastasis recti. He want to ...
  A: No, diastasis recti is not covered by insurance and is a cosmetic issue. This is usually addressed ...
breast augmentation5/28/2009
  Q: I am 20 years old and barely an A cup. I don't even think I have a size, unless there is something ...
  A: Pro bono breast augmentation will never happen. There is the cost of implants, the anesthesiologist ...
Belly button closing up5/24/2009
  Q: I had a tummy tuck about 9 months ago and had scarring around belly button and battled the scaring ...
  A: If it is smaller than a pea then you will likely need to have a recision. It will consist of ...
implant removel5/11/2009
  Q: "i was Acup before augmentation. i got 400cc hight profile under the muscles gel implants for ...
  A: The issue is that you had fairly large implants that are high profile and no breast tissue before so ...
Breast lift and augmentation revision5/6/2009
  Q: I had a breast lift and augmentation done in 2006 after massive weight loss. I asked to be a perky ...
  A: Communication is key and it may be so that you need to find a new plastic surgeon. Photos are ...
breast reduction5/3/2009
  Q: i want to have a breast reduction.im a 36dd. i want to be a c.but im so scared to have it,ive never ...
  A: Breast reduction is not a painful operation. Any operation has its risks and also benefits. ...
X-Ray To Determine Deviated Septum5/2/2009
  Q: A month ago I had surgery to repair a deviated septum with some cosmetic work done at the same time. ...
  A: Xrays of the nose are generally useless, specially for th septum. Deviated septum is a clinical ...
post abdominalplasty5/1/2009
  Q: I am 8 weeks post op tummy tuck. I have hard knots in the center of my abdomin over my incision. ...
  A: What you feel at the incision is likely scar formation that may take some time to mature....months ...
neck lift4/30/2009
  Q: I first had a neck lift in 01 and the doctor also dis mid face, which i did not expect. The right ...
  A: I cant really comment on this as I am having a difficult time trying to figure out what is exactly ...
Part 2How much is a skin graft?Please.4/27/2009
  Q: -I couldnt send this as a follow up- I attach 4 pictures (Left and right ear). Can health insurance ...
  A: No insurance would likely not cover it as it appears to be more cosmetic. Quite honestly, the ...
Drains After Central Body Lift w/Belt Lipectomy4/26/2009
  Q: Dr. Esmailian, I had a body lift with belt lipectomy on March 27th. I had four drains placed during ...
  A: And congrats on your surgery. That does not necessarily mean anything. The only thing you can ...
eye fat4/24/2009
  Q: I have eye fat in the corner of my eye. How is the best way to remove it? Is surgery my only option?
  A: I am assuming the fat you are talking about is the bulging you have just below the lower eyelid. If ...
Nipple pain after reduction4/23/2009
  Q: I had a reduction years ago. Very happy with results except for one thing. After about 3 years I ...
  A: Nipple hypersensitivity may happen after breast reduction, but somewhat unusual for it to happen ...
How much is a skin graft?Please.4/22/2009
  Q: I am 26.I was born with a cavernous hemangioma in my left ear and it was removed when I was 11, by ...
  A: I am not sure if a skin graft would solve your issue. A skin graft needs to survive off of where ...
breast infection4/16/2009
  Q: I had a breast reduction on May 12, 2008. I'm not sure the surgery went well from the beginning. My ...
  A: Sorry to hear about your issues. I would just explain everything you have to me to them and also it ...
Scar Removal4/14/2009
  Q: My 4 year old little cousin recently had surgery on her leg after putting it through a glass door. ...
  A: There are all the over the counter medication such as Scarguard and Mederma. I would generally wait ...
Skin Graft4/13/2009
  Q: I have carbuncles under my armits, they have been there for about 5 years. Over the course of that ...
  A: They are called hidradenitis suppuritiva. Excision and skin grafting is the traditional approach. ...
thoughts of a tummy tuck4/11/2009
  Q: I am a 28 year old female, size 14, and 5'2". I do not have children and want to hopefully within ...
  A: That is a difficult question something that you may need to make a decision on by yourself. But ...
tummy tuck trouble3/31/2009
  Q: About four years ago i lost about 40kg to go from 95kg to 55kg. (I am 19 and 170cm) as a result of ...
  A: Kate, I am sorry to here what is going on. Fortunately, it is fixable. It sounds like what you ...
i need your help3/28/2009
  Q: i don't know where else to turn anymore. i have lost over 115 pounds, have about 35 to go, but i ...
  A: Unfortunately it would be unlikely for you to find a plastic surgeon willing to provide the above ...
i need your help3/28/2009
  Q: i don't know where else to turn anymore. i have lost over 115 pounds, have about 35 to go, but i ...
  A: Congratulations on your recent weight loss. Unfortunately, after massive weight loss, there is lots ...
Nipple sensitivity after breast reduction/lift3/10/2009
  Q: I had a breast reduction/lift approx. 3 1/2 months ago. The technique used was a strip of material ...
  A: This is difficult to say, just like what your surgeon said, you may take longer. Some patients have ...
problems still from 12/30 surgery3/9/2009
  Q: On 12/30 I had a panniculectomy/abdominoplasty and bilateral maxtoplexy. This followed a WLS several ...
  A: Sorry to hear what has been going on Jerri. But it sounds as though you still have residual old ...
local with iv3/9/2009
  Q: I am going to have breast aug. With local and iv sedation. I need to know if I stopped taking ...
  A: I dont know the answer to your question but I am a bit concerned with the local with IV ...
Burn Reconstructive Surgery3/8/2009
  Q: I was burned by hot bacon grease fresh out of the microwave when I was 18 months old. I am 25 years ...
  A: Sorry to hear your unfortunate circumstance. Burn reconstruction is usually very difficult because ...
breast reduction dehiscence3/8/2009
  Q: Dr, Esmailian, I had a breast reduction on 2/12/09 and have a large wound separation under the ...
  A: as I always appreciate it when pictures are included. I would actually not really consider this a ...
post breast reduction pain3/5/2009
  Q: I had a breast reduction and lift on 2/18. I am thrilled with the results, however, I have had to ...
  A: Your pain sounds somewhat unusual for a breast reduction. Usually breast reduction is not a very ...
Fat necrosis after combined lipo and abdominoplasty3/5/2009
  Q: I had combined procedure abdominoplasty with lipo and ended up with infection,exessive seroma skin ...
  A: There may be many reasons why this happened and I can speculate on why it happened, but this is a ...
Breast Seroma question3/4/2009
  Q: I had my old silcon implants removed recently(rupture and capsular contraction) and replaced with ...
  A: There isnt much that you can or cant do. I would ask your surgeon to recommend someone. He should ...
Breast Seroma question3/4/2009
  Q: I had my old silcon implants removed recently(rupture and capsular contraction) and replaced with ...
  A: Sure, It is usually done by a radiologist in the hospital. They use and ultrasound to identify ...
Is Ripping/Tearing of Breast Tissue normal after a breast augmentation?3/2/2009
  Q: I had breast implants placed above the muscle and place through under my boob. When I woke up I was ...
  A: It is hard to say what is going on as what you are describing is unusual. Therefore, I would just ...
abdominalplasty2/26/2009
  Q: I had abdominalplasty and lipo of my flanks. 2/14/08 I had problems with seroma it was drained with ...
  A: That is a little unusual. It is normal to have changes up to 1 years time. It is just that the ...
large lump by belly button2/22/2009
  Q: I had abdominalplasty and umbilical hernia repair on September 5, 2008. Really no complications. I ...
  A: It is possible that it is a seroma again. Sometimes seromas return and may need to be aspirated ...
rhinoplasty2/22/2009
  Q: i had a rhinoplasty 6 months ago ........and now my nose look like hell .....even much worst than it ...
  A: I would address your concerns to your doctor. Your doctor would be best to address your concerns, ...
Skin between chin and neck2/16/2009
  Q: I am a 65 year old man, somewhat overweight, but it doesn't show in my face or neck. However, in ...
  A: This is usually addressed by doing a neck lift or facelift. If it is just the area under your chin ...
Complications from tummy tuck2/12/2009
  Q: I had a "tummy tuck" on the 29th of September. At my two week check up, I pointed out a lump to my ...
  A: I am sorry you are feeling the way you are. It is not uncommon to take a few months before ...
breast lump with implants2/10/2009
  Q: I have saline breast implants for 3 years and found a hard lump, the size of a peanut M&M about an ...
  A: I would not assume that it is the valve. All saline implants have valves so it doesnt matter which ...
sore throat prior to surgery for breast augentation2/8/2009
  Q: I am booked in for a breast augmentation on february 17th. 3 days ago i developed a sore throat. ...
  A: As long as your sore throat is gone and you do not feel ill, I would say you are okay for surgery. ...
DISSOLVEABLE STITCHES2/4/2009
  Q: I'm 8 WEEKS POST OP FORM A FULL TUMMY TUCK WITH MR AND I HAVE HAD STITCHES BREAKING THROUGH MY SCAR ...
  A: You pain is unlikely due to the stitches breaking through. It is likely the nerve regenerating. ...
breast implants2/2/2009
  Q: I feel like my dr. pressured me at the last minute to go for these high-profile implants. I was ...
  A: I would assume they were saline, and yes they were on the market. And not there is no kickback. ...
Abdominoplasty after surgery black skin1/30/2009
  Q: Dr.E I had a abdominoplasty about 6 weeks ago, I am a slow healing person for what I have read. ...
  A: I would assume the black skin is at the bottom of your abdomen in the midline. You have skin ...
Alloderm and breast implant revision for rippling1/30/2009
  Q: I have saline breast implants under the skin; my muscle tissue was determined to be too dense to ...
  A: I would use alloderm as a last resort for revision surgery. As it is a foreign substance and is ...
buccal fat extraction1/28/2009
  Q: I am 20 years old, and had buccal fat extraction done to me 3 1/2 months ago. As the procedure is ...
  A: Jay I would recommend just holding off on any further procedures. Take your time in making a ...
Seroma after Tummytuck and Liposuction1/24/2009
  Q: I am a 49 year old female. Four and a half years ago I had a tummy tuck and liposuction performed ...
  A: Yes that does sound feasible and is usually the last resort, because it involves a surgery. ...
Puffy nipple1/24/2009
  Q: Is there a simple nipple surgery for puffy nipple in men other than doing the liposuction.
  A: You mostly likely are talking about gynecomastia. The solutions are to perform liposuction of the ...
Seroma after Tummytuck and Liposuction1/23/2009
  Q: I am a 49 year old female. Four and a half years ago I had a tummy tuck and liposuction performed ...
  A: Sorry for your very rare situation. Cutting out a seroma I cant comment on because I have not ever ...
Breast Reduction Justification1/22/2009
  Q: My wife had been recommended by 2 different Drs. to get a breast reduction (she is 43). We have a ...
  A: You will have to see a plastic surgeon and take it from there. The plastic surgeon will put in a ...
4 weeks post-op Tummy Tuck and still draining?1/21/2009
  Q: I am 4 weeks post-op and still have 1 Jackson-Pratt drain! My daily output is between 30-40cc of ...
  A: It is an unfortunate thing that can happen, but it really has nothing to do with your healing ...
Breast reduction pain 6 years after1/15/2009
  Q: I am 51 years old ,my breast reduction was back in Oct. 2003. My left breast has been hurting ever ...
  A: I am sorry to hear that Nona. Unfortunately as you have explained here, it sounds to me that all ...
Nasolabial Folds men1/6/2009
  Q: I'm 21 years old and I recently lost a lot of weight but I've noticed that now my nasolabial folds ...
  A: What you may have read is called a mid-face lift. It lifts the fat pad that sits above the ...
heel pain1/4/2009
  Q: ive been suffering from heel pain for years now. In a vain attempt to solve the pain, i iced by ...
  A: I dont think silicone would work. It is a very difficult problem. Recently I treated a patient ...
What it takes to be a plastic surgeon1/1/2009
  Q: What does it take to be a plastic surgeon? How much school work? What schools can be planned out for ...
  A: I dont know where you are in the process of your education but it is outlined here. You will have 4 ...
Unbalanced Asymmetrical Gynecomastia Surgery12/31/2008
  Q: I´m having problems with a cavity under my nipple where the gland and tissue was removed. I´m in ...
  A: 2 weeks post op is very early to comment on how things will shape. But that is one of the risks ...
Breast implant removal and/or replacement12/28/2008
  Q: My 300cc silicon breast implants (of 17 years) ruptured and I went to a surgeon to have them ...
  A: You have had one tough course after another. What I would recommend is just remove both an let it ...
Chin and Jaw Asymmetry12/26/2008
  Q: Dr. Esmailian, Thank you for taking the time to review my question. My question regards facial ...
  A: I dont know if it is or isnt an optical illusion. But what I would say is that if it appears to you ...
rhinoplasty12/4/2008
  Q: 3 months ago i have a rhinoplasty .......there is a significant improvement in the shape of my nose ...
  A: It takes about 6 months before a lot of the swelling subsides, but at 3 months you should have a ...
Amputation of the distal phalanx12/1/2008
  Q: Esmailian, My question is regarding a past amputation of the distal phalanx on my right index ...
  A: This is very interesting and yes I would get it checked out by a hand surgeon as soon as you can. ...
Ptosis surgery11/30/2008
  Q: Dr. Esmailian, Thank you for your time. I am 32 years old and have an upper eyelid that is ...
  A: You will likely require upper eyelid surgery called blepharoplasty +/- browlift. You can visit my ...
Rhinoplasty - 1 year after the operation11/11/2008
  Q: Esmailiam, It's been a bit more than a year since my rhino and I feel that so far, my nose has ...
  A: You may need to examined, but you may have cause some kind of damage, difficult to say. Anyhow, ...
Plastic Surgery11/11/2008
  Q: I am a 20 year old female who is reluctant to undergo a nose plastic surgery. In your opinion, what ...
  A: Really you have to say to yourself that you truly are not happy with the nose you have and would be ...
Should i follow a career in law or medicine??11/10/2008
  Q: I am currently a junior in High school in NY with a 94% avg. I am really interested in both ...
  A: I cant really guide you here as this is a decision you and only you can make. I would consider ...
tummy tuck after hernia repair with mesh11/7/2008
  Q: I had an umbilical hernia repair with mesh a year ago. Is it possible to get a tummy tuck now? Does ...
  A: Yes, possible to do a tummy tuck. The length of the scar does depend on how much skin needs to be ...
Rhinoplasty panic10/23/2008
  Q: I am very worried cos I have just had a rhinoplasty operation in Poland.I'm from Ireland.I think it ...
  A: I dont know how you can tell how things look one day out from the surgery, with all the tape and ...
Rhinoplasy10/23/2008
  Q: I just wanted to ask you a few things about the side affects of Rhinoplasty. Lately, I have been ...
  A: Any time you under go anesthesia there is the risk of death. As long as you are young and healthy ...
lumps after ba10/14/2008
  Q: I had a breast augmentation and lift in February this year. I have had pain in my right breast for a ...
  A: Usually it is "normal healing process" to have some burning and tingling for the first 6 months and ...
Seroma complications10/12/2008
  Q: I had an abdominalplasty several years ago. Primarily for removal of "fatty" tumors (one which was a ...
  A: sound like you have been thru a lot. A few things, tetracycline does not give an infection, it is ...
3 months post Tummy Tuck9/30/2008
  Q: I had a full tummy tuck a lil over 3 months ago & I now have dog ears. My question is this...does ...
  A: Dog ears happen because there is excess skin left over. We sometimes leave them because they may ...
Recontruction and tummy tuck problems9/30/2008
  Q: I had recontruction(breast cancer,kept skin and nipples) and a tummy tuck..8 months later problems ...
  A: You basically had scarring which is part of any surgery. Some people have more others less. Not ...
Breast Lift with implant exchange9/28/2008
  Q: The implants in were 325cc and I had them swapped out to 267 but with a lift and was wanting to be a ...
  A: You are rather earlier in the process. I generally say you have to wait about 4 months to be able ...
seroma9/27/2008
  Q: I had a tummy tuck and lypo 3 years ago. I developed a seroma a few days after the drains were ...
  A: Unlikely that the sarcoidosis is a result of the tummy tuck or the seroma, very very unlikely. If ...
Liposuction back and foreheadslift9/23/2008
  Q: Good morning I have been thinking for a while to do liposuction and a forehead lift. The forehead ...
  A: You are correct, liposuction in patients that are older and already have loose skin is not always ...
paralysed lip9/22/2008
  Q: Mr. Farbod Esmailian, It's been nearly 2 weeks since I've had rhinoplasty, chin reduction and cheek ...
  A: Not sure exactly what is going. You are pretty early in the recovery therefore swelling could be ...
Septoplasty / Rhinoplasty9/20/2008
  Q: I had surgery on my nose about 9 days ago. I have a splint on my nose and my packing has already ...
  A: Pain is normal part of the surgery. Not exactly sure what the pain you are having is precisely from ...
slow healing/open wound after breast reduction surgery9/20/2008
  Q: I had breast reduc. surgery 8 weeks ago. I am a smoker, and, unfortunately, I didn't quit. I ...
  A: The wound has to take time to heal. The healing process is a lot slower in patients who have smoked ...
breast implants9/20/2008
  Q: I had smooth round saline implants placed in 5 weeks ago. They have not yet started to drop. I was ...
  A: It takes about 4 months for the breasts to settle. Massage is very important during this time. The ...
breast lift implant placement9/19/2008
  Q: I had my original breast augment 4 years ago, had 375cc placed under the muscle, however as I am an ...
  A: I dont think there is any reason. It is just a risky operation to do now. The surgeon has to be ...
Mini-Tummy Tuck Hematoma/Possibly IUD Related?9/18/2008
  Q: I am 5 weeks post op from a mini tummy tuck with lipo. I developed a hematoma about one week post ...
  A: I dont know much about Mirena IUD but my guess would be not it doesnt thin your blood, and birth ...
Dramatic nose changes9/17/2008
  Q: what are the realstic expectations one can have on a "normal" nose? i read your other answer and you ...
  A: There is only so much that can be done. You should not imagine it being like some one else because ...
propofol9/16/2008
  Q: I am going to have a procedure done using propofol. It is a new drug to me and I am unsure and ...
  A: Profol as you can google it is not a new drug. Has been around for some time. It will basically ...
Post Drainage \Hematoma Left Breast9/15/2008
  Q: I was wondering how long it would take for my breast to be healed after I had a second surgery to ...
  A: It will take a few weeks for the swelling to subside, a bit longer than it would have originally. ...
smart lipo post proceedure9/13/2008
  Q: Two weeks after the smart lipo proceedure on abdomen, hips and upper tummy, I began to run a fever ...
  A: I am not sure why you are having fever that high. Hematoma alone does not give fever, unless it is ...
Consultation money9/13/2008
  Q: I would like to visit many plastic surgeons to ask them about realistic expectations, and basically ...
  A: Our office does not charge for a consultation, but I do know there are offices that do. The ...
smart lipo post proceedure9/12/2008
  Q: Two weeks after the smart lipo proceedure on abdomen, hips and upper tummy, I began to run a fever ...
  A: Antibiotic is good. Depends on how big the hematoma gets. If it is compromising the overlying skin ...
breast reduction issue9/4/2008
  Q: It's has been 3 weeks since my breast reduction surgery and my left breast is not healing right. ...
  A: Stacey, Thanks for the picture as it helps out a lot. You have some skin loss which is ...
Breast Implants8/30/2008
  Q: I'm an 18 year old girl and I'm planning to get breast implants to make my boobs bigger. I have a ...
  A: That will be difficult order as there are nurses, scrub tech, and anesthesiologis in the room. So ...
chin sugery8/29/2008
  Q: when you have geneioplasty where your tip of chin is cut and bought forward an amount (3mm) can you ...
  A: A sliding genioplasty simply moves the chin forward and will give a stronger chin. By longer, I am ...
lower bleph surgery8/28/2008
  Q: Are tear troughs difficult to fix through surgery. I have no wrinkling under my eye but would like ...
  A: In general, at least in my hands, fat injections are temporary. I feel that fat injection in the ...
breast implant revision8/26/2008
  Q: I hope you can help me. I have breast implants, ten years ago, 350 cc saline under the muscle ...
  A: You could go down a bit on the size, but in general since you have breast fed and had 3 children the ...
Uneven breast after surgery8/20/2008
  Q: I had 450cc breast implants put in a couple weeks ago and am not pleased. One of my breast fills ...
  A: Given that you are couple of weeks out, you are very early. I generally wait until about 4 months ...
Breast Implants & Full Tummy tuck8/18/2008
  Q: My niece has just last week undergone both and the left breast is very much enlarged and all abdomen ...
  A: Most doctors that I know of in the U.S. apply an abdominal binder to the area for the first 6 weeks ...
Tummy tuck wounds8/17/2008
  Q: I had a Tummy tuck in July 08. My incision above my pubic area seems to be separating. The other ...
  A: Sorry to hear about your unfortunate complication. My questions would be: Is the doctor not seeing ...
bumpy nose8/11/2008
  Q: I have a bumpy nose.its not big but my nose its not straight anymore. it wasnt like that before. it ...
  A: My question would be did you have any nose surgery before? Also, did you break your nose. I dont ...
breasts8/11/2008
  Q: i was just wondering that if i lose weight and tone up aain would this effect the size of my ...
  A: That is a very good question. One I get asked all the time by my patients. It really depends how ...
IMG Trouble8/4/2008
  Q: Esmailian, I am a medical student finishing my medical school in Mexico City, I am in a privileged ...
  A: Alberto, Thanks for the email. The first thing is to ace USMLE Step 1 and Step 2. Then place your ...
scar8/4/2008
  Q: I recently received electrocoagulation on my face to remove to 2 flat warts. The warts were rooted ...
  A: Unfortunately it is difficult to predict wound healing since everyone is very different and everyone ...
Breast Reduction Concern7/30/2008
  Q: I just recently had a breast reduction 2 weeks and a couple days ago. One of the doctors told my mom ...
  A: I feel that it really does not make that much difference when the tape is taken off. The breast ...
LOWER LID BLEPH7/28/2008
  Q: i had lower lid surgery 3 weeks ago i still have some swelling which i was told is normal . i ...
  A: I am not sure exactly where the wrinkling is, but I would listen to your surgeon. It is way to ...
serious problems after rhinoplasty7/28/2008
  Q: Iam exactly 1 year post op and since now i have exprienced something awful. 2 months after my ...
  A: Bogdan, I assume the swelling you are talking about is external. It usually takes about 1 year ...
LOWER LID BLEPH7/27/2008
  Q: i had lower lid surgery 3 weeks ago i still have some swelling which i was told is normal . i ...
  A: Chi, I usually tell me patients that it takes about 6 weeks until the edema goes away. The ...
Lowering the eyebrows and nose job limitations7/22/2008
  Q: I have very high, weak, almost feminine browline, and I am a man. As a result, my eyes are actually ...
  A: I have not heard of that but I would assume that a surgeon would be able to build up the brow ridge. ...
Pregnancy after a tummy tuck7/21/2008
  Q: I have been reading several answers to the Pregnancy after a tummy tuck question. And I was ...
  A: In general, there is not any mesh placed during a tummy tuck. The layer over the muscles called the ...
Lowering the eyebrows and nose job limitations7/20/2008
  Q: I have very high, weak, almost feminine browline, and I am a man. As a result, my eyes are actually ...
  A: This is not a common question asked but I would suppose that the brow can be lowered. Usually we ...
face7/15/2008
  Q: i had scalpel wire (diamond wire surgery) to area around mouth 3 weeks ago and now i have a lumpy ...
  A: I am assuming that you have perioral (around the mouth) dermabrasion. Correct me if I am incorrect, ...

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